Gastroenterology NursingPub Date : 2024-01-01Epub Date: 2023-11-08DOI: 10.1097/SGA.0000000000000780
Andrea Minciullo, Lucia Filomeno
{"title":"Nurse-Administered Propofol Sedation Training Curricula and Propofol Administration in Digestive Endoscopy Procedures: A Scoping Review of the Literature.","authors":"Andrea Minciullo, Lucia Filomeno","doi":"10.1097/SGA.0000000000000780","DOIUrl":"10.1097/SGA.0000000000000780","url":null,"abstract":"<p><p>Although efficacy and safety of nonanesthesiologist administration of propofol and nurse-administered propofol sedation practices have been amply demonstrated in patients at low American Society of Anesthesiologists physical status risk, they are still severely limited. To date, it is quite difficult to find a protocol or a shared training program. The aim of the study was to verify requirements, types of training, and operating methods described in the literature for the administration of propofol by a nurse. A scoping review of the literature was conducted in accordance with the PRISMA-ScR guidelines and in line with Arksey and O'Malley's framework, within four main databases of biomedical interest: MEDLINE, CINAHL, Scopus, and Web of Science. We selected studies published during the last 20 years, including only nurses not trained in anesthesia. Seventeen articles were eligible. Despite the differences between the training and administration methods, efficacy and safety of deep sedation managed by trained nurses were comparable, just like when sedation was administered by certified registered nurse anesthetists. Training programs have been investigated in detail by only a small number of studies, although its efficacy and safety have been widely demonstrated. It is important, then, to collect evidence that allows developing of unified international guidelines for training methods to offer safe and cost-effective quality sedation.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"33-40"},"PeriodicalIF":0.7,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71480714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2024-01-01Epub Date: 2023-12-18DOI: 10.1097/SGA.0000000000000751
Canan Salman Önemli
{"title":"TWENTY CYLINDRICAL BATTERIES PROGRESSING IN THE ABDOMEN OF AN ADULT PATIENT.","authors":"Canan Salman Önemli","doi":"10.1097/SGA.0000000000000751","DOIUrl":"10.1097/SGA.0000000000000751","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"63-66"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2024-01-01Epub Date: 2023-08-09DOI: 10.1097/SGA.0000000000000776
Noelle Rohatinsky, Usha Chauhan, Barbara Currie, Shelley Peacock, Kelly Phalen-Kelly, Brooke Russell, Natasha Tooke
{"title":"Older Adults With Inflammatory Bowel Disease in Canada: A Mixed-Methods Exploratory Study of Care Experiences and Health-Related Quality of Life.","authors":"Noelle Rohatinsky, Usha Chauhan, Barbara Currie, Shelley Peacock, Kelly Phalen-Kelly, Brooke Russell, Natasha Tooke","doi":"10.1097/SGA.0000000000000776","DOIUrl":"10.1097/SGA.0000000000000776","url":null,"abstract":"<p><p>Literature exploring the health-related quality of life and care experiences of older adults with inflammatory bowel disease is limited despite the increasing prevalence in this population. The purpose of this study was to explore the perceived health-related quality of life and care experiences in older adults with inflammatory bowel disease in Canada. This study used a mixed-methods convergent design consisting of a descriptive, cross-sectional survey and qualitative descriptive interviews. Fifty-eight participants completed the survey and 24 participants completed interviews. Older adults reported satisfaction with inflammatory bowel disease-related care, high levels of disease control, moderate health-related quality of life, and low levels of patient-healthcare team interactions. Themes identified were (1) Experiences of inflammatory bowel disease in daily life; (2) Accessibility of inflammatory bowel disease-related health services; and (3) Communication and relationships to facilitate inflammatory bowel disease care. Ultimately, quality inflammatory bowel disease care for older adults is contingent upon communication between patients and providers, access to multidisciplinary clinics, and support networks. By ensuring these factors are present, providers and patients can work together collectively toward positive patient outcomes, enhanced satisfaction with care, and greater perceived quality of care.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"41-51"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10833196/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9963620","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2024-01-01Epub Date: 2023-12-11DOI: 10.1097/SGA.0000000000000760
Amy Lorenzo, Liza Hillel
{"title":"The Deception of Pancreas Cyst Surveillance: A Case Study.","authors":"Amy Lorenzo, Liza Hillel","doi":"10.1097/SGA.0000000000000760","DOIUrl":"10.1097/SGA.0000000000000760","url":null,"abstract":"<p><p>Pancreatic cysts are a growing pandemic around the world. Intrapapillary mucinous neoplasms are the most common type of pancreatic cysts and given their premalignant nature, guidelines recommend surveillance. This case study and discussion addresses the five existing guidelines published to help clinicians manage patients with intraductal papillary mucinous neoplasms and illustrates how, despite guidelines and close surveillance, intraductal papillary mucinous neoplasms can transform into pancreatic adenocarcinoma.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"27-32"},"PeriodicalIF":0.8,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800626","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"THE ETHICS OF PEG TUBE PLACEMENT IN A PATIENT WITH ADVANCED DEMENTIA.","authors":"David Michael Vaughan, Jason Lesandrini","doi":"10.1097/SGA.0000000000000801","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000801","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":""},"PeriodicalIF":0.8,"publicationDate":"2023-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139048544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-11-01Epub Date: 2023-07-27DOI: 10.1097/SGA.0000000000000771
Berith Wennström, Susan Lindberg, Johanna Svensson, Elin Larsson, Helen Stensby, Per-Anders Larsson
{"title":"Being Caught in a Vicious Circle: An Interview Study of Individuals Suffering From Grade II-IV Hiatal Hernia.","authors":"Berith Wennström, Susan Lindberg, Johanna Svensson, Elin Larsson, Helen Stensby, Per-Anders Larsson","doi":"10.1097/SGA.0000000000000771","DOIUrl":"10.1097/SGA.0000000000000771","url":null,"abstract":"<p><p>Large paraesophageal hernias are related to life-threatening complications that warrant immediate surgery. Whether the long-standing chronic symptoms related to the disease in individuals without hernia incarceration motivate surgical treatment is still a subject for discussion. The aim of this study was to explore how individuals suffering from Grade II-IV hiatal hernia describe their symptoms and health, as well as how the disease affects their life. Semistructured interviews were performed with 22 individuals planning to undergo surgery for a large paraesophageal hernia. The data were analyzed using qualitative content analysis and resulted in one main theme \"Being caught in a vicious circle\" and six subthemes \"Distressing and uncertain times,\" \"The symptoms have seized control over my health,\" \"Loss of energy and strength,\" \"Strategies for managing daily life,\" \"Loss of social life,\" and \"Moments of hope despite failing health.\" Central to the participants' descriptions is their commitment to strategies for managing the ever-present and unpredictable symptoms that have seized control over their health. They were trapped in a hopeless and isolated existence, that is, a vicious circle, from which they were unable to escape. Despite the low incidence of volvulus and incarceration, the symptom burden and effect on general health motivate treatment in these individuals.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"489-496"},"PeriodicalIF":0.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10720819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9873650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-11-01Epub Date: 2023-09-13DOI: 10.1097/SGA.0000000000000767
Naiara Bussolotti Garcia, Adriana Cristina de Oliveira
{"title":"What Are the Ready-to-Use Endoscope Channels Hiding?: Unraveling the Risks of Safe Reuse.","authors":"Naiara Bussolotti Garcia, Adriana Cristina de Oliveira","doi":"10.1097/SGA.0000000000000767","DOIUrl":"10.1097/SGA.0000000000000767","url":null,"abstract":"<p><p>Contamination due to failures or omissions in the reprocessing steps of gastrointestinal endoscopes is common in clinical practice. Ensuring the proper execution of each step is a challenge for reprocessing personnel. This cross-sectional study was conducted in an endoscopy setting between March and May 2021. We performed interviews about reprocessing practices, analyzed the life history of the equipment, and performed inspections through a borescope video of gastrointestinal endoscope channels that were stored and ready for use. A borescope is a complementary tool used to validate endoscope reprocessing, evaluate the internal visualization of channels, and identify changes that can compromise the safety of its use, which are often not detected in the leak test. Thirteen biopsy channels from stored gastrointestinal endoscopes were inspected. We found that 85% had stains and grooves, 69% contained moisture, and 46% had debris. There was at least one noncompliance issue in all of the channels inspected.</p>","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"455-464"},"PeriodicalIF":0.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10226802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Curious Case of Alagille Syndrome: A Case Report With NANDA-I Classification, NIC, and NOC Linkage to the Patient Care Plan.","authors":"","doi":"10.1097/SGA.0000000000000799","DOIUrl":"https://doi.org/10.1097/SGA.0000000000000799","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":"46 6","pages":"E11"},"PeriodicalIF":0.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138800717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gastroenterology NursingPub Date : 2023-11-01Epub Date: 2023-05-01DOI: 10.1097/SGA.0000000000000731
Michael Doulberis, Christian Rüedi, Jan Schmidt, Hasan Kulaksiz
{"title":"WHERE GASTROENTEROLOGY AND UROLOGY MEET; AN UNEXPECTED CAUSE OF MACROHEMATURIA DIAGNOSED BY GASTROINTESTINAL ENDOSCOPY.","authors":"Michael Doulberis, Christian Rüedi, Jan Schmidt, Hasan Kulaksiz","doi":"10.1097/SGA.0000000000000731","DOIUrl":"10.1097/SGA.0000000000000731","url":null,"abstract":"","PeriodicalId":12666,"journal":{"name":"Gastroenterology Nursing","volume":" ","pages":"497-500"},"PeriodicalIF":0.8,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9412998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}